Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $320.77 / $6,541.00 / $13,413.92	Facility		$320.77	$6,541.00	$13,413.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $92.88 / $123.68 / $586.42	Professional		$92.88	$123.68	$586.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $92.63 / $196.24 / $381.64	Professional		$92.63	$196.24	$381.64
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $85.73 / $451.84 / $821.00	Facility		$85.73	$451.84	$821.00
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $207.15 / $322.66 / $670.87	Professional		$207.15	$322.66	$670.87
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $279.00 / $451.50 / $737.78	Professional		$279.00	$451.50	$737.78
Providence Facility/Professional Facility Modifier Low / Median / High Price $96.35 / $451.84 / $821.00	Facility		$96.35	$451.84	$821.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $134.38 / $378.00 / $736.00	Professional		$134.38	$378.00	$736.00
United Facility/Professional Professional Modifier Low / Median / High Price $245.64 / $320.32 / $842.18	Professional		$245.64	$320.32	$842.18